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Remote Jobs with Licensed practical nurse Certification

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14 fresh jobs found
Clinical Review Nurse - Concurrent Review
Remote-NC, United States Centene Corporation logo Centene Corporation
Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19
Mid Full Time
USD 52K+
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Patient Care Advocate
Remote-AR, United States Centene Corporation logo Centene Corporation
Member advocacy Provider experience Quality Initiatives Health administration HEDIS NCQA CPT coding Health coaching Risk Adjustment +34
Mid Full Time
USD 52K+
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Clinical Review Nurse - Prior Authorization
Remote-FL, United States Centene Corporation logo Centene Corporation
Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26
Mid Full Time
USD 52K+
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Clinical Review Nurse - Concurrent Review
Remote-IN, United States Centene Corporation logo Centene Corporation
Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19
Mid Full Time
USD 95K+
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Quality Program Strategist II
Remote-IA, United States Centene Corporation logo Centene Corporation
HOS CAHPS Quality performance Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams Strategic initiatives +28
Mid Full Time
USD 68K+
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Clinical Review Nurse - Concurrent Review
Remote-MN, United States Centene Corporation logo Centene Corporation
RN licensure Health management systems UM Medicaid regulations Health management InterQual Acute care Discharge planning Clinical Review +22
Mid Full Time
USD 52K+
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Quality Program Strategist
Remote-OH, United States Centene Corporation logo Centene Corporation
Health program design Cphq Quality Initiatives Quality Metrics Program Design Health Plan Lean Six Sigma Methodologies Risk assessments +18
Mid Full Time
USD 55K+
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Clinical Review Nurse - Prior Authorization
Remote-IL, United States Centene Corporation logo Centene Corporation
Service authorization Medical necessity analysis Medicare regulations Health management systems Medical appropriateness Health management Clinical reviews Authorization requests Medicaid regulations +22
Mid Full Time
USD 95K+
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Care Coordinator
Remote IL CHI METRO, United States Humana logo Humana
Advanced Computer Electronic Information Applications Health Assessments Human services Driver safety program Care Planning Electronic Medical Records Social Work Care Coordination +45
Entry Mid Full Time
USD 59K+
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Education Coordinator I
Remote-GA, United States Centene Corporation logo Centene Corporation
Member management software Learning Technologies Education and Training Health Plan Adult Learning Principles Methodologies Training Programs Clinical operations Instructional Design +15
Mid Full Time
USD 55K+
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Patient Care Advocate
Remote-ME, United States Centene Corporation logo Centene Corporation
Member advocacy Quality Initiatives Provider experience NCQA Health administration Telephonic Communication HEDIS Risk Adjustment Telephonic Outreach +35
Mid Full Time
USD 52K+
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Special Investigations Unit (SIU) Investigator (Remote)
Home, United States Prime Therapeutics logo Prime Therapeutics
Fraud Analysis Risk Evaluation Quality Metrics Data Mining Report Writing Claims processing Claims Reports Auditing +16
Mid Full Time
USD 59K+
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Utilization Management Nurse
Work at Home - Florida, United States Humana logo Humana
CGX Interpreting Criteria MCG Clinical Nursing Medical Services Registered Nurse Clinical knowledge Utilization management BI +38
Mid Full Time
USD 71K+
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Clinical Review Clinician - Appeals
Remote-MO, United States Centene Corporation logo Centene Corporation
Appeals processing Interdepartmental Collaboration Clinical data analysis Ncqa standards Clinical reviews Medicaid regulations NCQA Clinical Review Medical necessity +25
Mid Full Time
USD 52K+
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